[Kidney injuries in children. Apropos of 65 cases].
The authors report a retrospective series of 65 cases of renal contusion in children affecting 45 boys and 20 girls between the ages of 10 months and 15 years (mean age: 10 years). The causes of renal trauma were dominated by household accidents (53.8%) and road accidents (33.8%). Associated extrarenal lesions were observed in 21.5% of cases. 55.4% of the 65 contusions were considered to be benign, 27.7% of moderate severity and 16.9% were serious. The blunt trauma affected a pathological kidney in 19 cases. Exclusively medical treatment was recommended in 31 patients, while surgery was indicated in the other 34 patients. Apart from one death in a context of multiple trauma, few complications were observed in the group of operated patients and consisted of 4 cases of urinary fistula and 4 cases of infection, all of which resolved.
Krid
M
M
Service d'Urologie, E.P.S. Sahloul, Sousse, Tunisie.
Bahloul
A
A
el Haddad
N
N
Trifa
M
M
Mosbah
A F
AF
Mhiri
M N
MN
D000061:Accidents, Home; D000063:Accidents, Traffic; D000293:Adolescent; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D003288:Contusions / Q000145:classification / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D007674:Kidney Diseases / Q000150:complications; D008297:Male; D009104:Multiple Trauma; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014548:Urinary Fistula / Q000209:etiology; D014567:Urography; D014949:Wounds, Nonpenetrating / Q000145:classification / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy
Le traumatisme du rein chez l'enfant. A propos de 65 cas.